Provider Demographics
NPI:1417326992
Name:HERNANDEZ, GILBERT (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 JACKSON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-4754
Mailing Address - Country:US
Mailing Address - Phone:813-549-2940
Mailing Address - Fax:813-549-2952
Practice Address - Street 1:7345 JACKSON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-4754
Practice Address - Country:US
Practice Address - Phone:813-549-2940
Practice Address - Fax:813-549-2952
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002586363LF0000X
FLRN9354742163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily